简介:摘要:目的:比较不同参数重复经颅磁刺激对脑梗死恢复期患者上肢功能恢复的影响。方法:将进入课题研究的 20例患者按随机数字表随机分为 5Hz组, 10Hz组,每组 10例,在常规药物治疗和康复训练的基础上,分别对患侧大脑 M1区进行不同参数下的 rTMS治疗,连续治疗 15天,并于第一次治疗前和治疗 15天后对各组进行疗效评定,评定采用上肢 Fugl-Meyer评分。结果:两组患者的上肢 Fugl-Meyer评分均有所提高, 10HZ组和 5HZ组比较有显著性意义 (P<0.05)。结论: 5HZ、 10HZ重复经颅磁刺激作用于患者患侧大脑半球 M1区均能提高患侧脑区运动皮质的兴奋性,有助于脑梗死恢复期患者上肢功能的恢复,且 10HZ比 5HZ的经颅磁刺激更能改善患者功能。
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